Individual
DR. NAM KWON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
36000 SHOEMAKER LANE, STE 1051, FORT CAVAZOS, TX 76544-5054
(254) 287-2705
Mailing address
36000 SHOEMAKER LANE, STE 1051, FORT CAVAZOS, TX 76544-5054
(254) 287-2705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12574
MD
1223E0200X
Endodontics
Primary
12574
MD
Other
Enumeration date
12/15/2005
Last updated
09/11/2023
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